Individual
MELISSA KOEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
Mailing address
28196 500TH AVE, MORRIS, MN 56267-4363
(320) 287-0269
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7581
MN
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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